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Please fill out this report only AFTER you have made yourselves or your animals safe. If you intend to file a Police Report, please do that first.

Dangerous Dog(s) Report

Use this form to report an incident in which a dog or dogs were harassing or attacking people or animals.

  • Harassment = dog(s) have behaved aggressively towards a person or animal but no injuries occurred.

  • Attack = dog(s) have physically attacked a person or animal and injury or death occurred.

Was this incident a harassment or an attack?

Type of Incident
Harassment
Attack

When did the incident occur?

Date and time
Day
Month
Year
Time
HoursMinutes

Where did the incident occur?

Was a police report filed?

Police report
Yes
No

If you have photo(s) from the incident, upload up to three here.

Did the incident happen to you?

Witness or victim?
Yes, it happened to me, my family, or my animals.
No, I'm reporting for my neighbor or friend.

It helps to know your role in creating this report.

Next, we'll collect more information about the incident.

Pa'auilo Mauka Kalōpā Community Association
PO Box 408, Pa'auilo, HI 96776
www.PMKCA.org

©2025 R. Bennett. PMKCA

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